CN110575377A - simple and easy portable air pulse stimulation device of cerebral apoplexy recovery physiotherapy - Google Patents

simple and easy portable air pulse stimulation device of cerebral apoplexy recovery physiotherapy Download PDF

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Publication number
CN110575377A
CN110575377A CN201910781646.0A CN201910781646A CN110575377A CN 110575377 A CN110575377 A CN 110575377A CN 201910781646 A CN201910781646 A CN 201910781646A CN 110575377 A CN110575377 A CN 110575377A
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CN
China
Prior art keywords
piston
pulse stimulation
cerebral apoplexy
stimulation device
air pulse
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN201910781646.0A
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Chinese (zh)
Inventor
王露
刘珺瑞
刘海龙
宫志伟
邓霞
周永利
李猛
孙宽
李友荣
郑玉杰
陈珊珊
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
People's Hospital Of Chongqing City
Chongqing University
Original Assignee
People's Hospital Of Chongqing City
Chongqing University
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Publication date
Application filed by People's Hospital Of Chongqing City, Chongqing University filed Critical People's Hospital Of Chongqing City
Priority to CN201910781646.0A priority Critical patent/CN110575377A/en
Publication of CN110575377A publication Critical patent/CN110575377A/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H9/00Pneumatic or hydraulic massage
    • A61H9/005Pneumatic massage
    • A61H9/0071Pneumatic massage by localized pressure, e.g. air streams or jets

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  • Health & Medical Sciences (AREA)
  • Epidemiology (AREA)
  • Pain & Pain Management (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Rehabilitation Therapy (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Percussion Or Vibration Massage (AREA)

Abstract

the invention provides a simple and portable air pulse stimulation device for cerebral apoplexy recovery physiotherapy, which is characterized by comprising a power supply system, a timing system, a control system, a driving system, a piston device and an air guide hose. Through airflow impact, the nerves of oral mucosa and tongue and pharynx are stimulated, swallowing reflex is induced, the sensitivity of the oral mucosa and pharynx mucosa is improved, and the muscle contraction reflex in the larynx is caused. The air pulse stimulation of the invention can not cause the discomfort of vomiting, choking cough and the like of the patient and has good effect.

Description

Simple and easy portable air pulse stimulation device of cerebral apoplexy recovery physiotherapy
Technical Field
Relates to a novel simple air pulse stimulation device for treating dysphagia, which can promote the recovery and reconstruction of deep muscle activity.
Background
Dysphagia refers to the problem of ineffective and safe feeding due to impaired function of the mandible, lips, tongue, soft palate, throat, esophageal sphincter or esophagus. At present, the swallowing disorder is clinically treated by treatment methods such as ice stimulation, acid stimulation, air pulse, electrical stimulation, acupuncture and moxibustion and the like. The ice stimulation mainly comprises the steps that a cotton swab is frozen and then repeatedly penetrates into the oral cavity of a patient for stimulation, on one hand, the cotton swab is mostly acted on superficial muscle groups, and the effect on deep muscle groups is not good; on the other hand, the ice is likely to cause choking after melting. Acid stimulation is mainly to stimulate taste buds, and the used substances such as dark plum powder can cause side effects such as gastrorrhagia and is not suitable for patients with diabetes and chronic gastropathy. The electrical stimulation is to stimulate structurally intact lower motor neurons with low frequency current to activate or cause muscle contraction to improve muscle function or to treat neuromuscular disorders. The nerve and muscle of the throat are electrically stimulated by inputting low-frequency pulse current, so that the nerve and the deglutition muscle group are excited, and the recovery and reconstruction of the deglutition reflex arc are promoted.
Disclosure of Invention
The invention aims to provide a simple and portable air pulse stimulation device for cerebral apoplexy recovery physiotherapy, which is characterized by comprising a power supply system, a timing system, a control system, a driving system, a piston device and an air guide hose.
The piston device comprises a piston cylinder and a piston. One end of the piston cylinder is an air suction end, and the other end of the piston cylinder is an air outlet connected with an air guide hose.
And the piston in the piston cylinder is driven by the driving system to reciprocate in the piston cylinder.
The power supply system supplies power to the timing system, the control system and the driving system.
And controlling the working time of the driving system through the timing system.
And controlling the working state of the driving system by the control system.
Further, the power supply is a direct current power supply
Further, the driving system comprises a micro motor and a connecting mechanism.
The connecting mechanism is connected with the micro motor and the piston and converts the rotary motion of the micro motor into the reciprocating linear motion of the piston.
Further, the connecting mechanism is a slider-crank mechanism. The crank slider mechanism comprises three connecting rods which are arranged on the same plane and are mutually hinged, and a rotating shaft of the micro motor is vertical to the plane. Wherein, one end of the connecting rod L1 is connected with the rotating shaft of the micro motor. Link L2 connects link L2 and link L3. The connecting rod L3 is connected to the piston. The connecting rod L3 and the piston are equivalent to the slider of a slider-crank mechanism.
Further, a rotary valve is installed at an air outlet of the piston device, and the area of the outlet is controlled through the valve, so that the pressure of the outlet is adjusted.
Further, an air pressure sensor is installed at an air outlet of the piston device.
Further, the timing system is a mechanical timer.
Further, the control system includes a clock circuit. And the clock circuit controls the power supply system to intermittently supply power to the driving system.
Further, the control system controls the frequency of the piston means by controlling the speed of movement of the drive system.
further, the air guide hose is made of a latex material.
The technical effects of the invention are undoubtedly that the technology takes the air flow pulse as the stimulation, stimulates the nerves of the oral mucosa and the tongue and the pharynx by the air flow impact,Inducing swallow reflex, improving sensitivity of oropharyngeal mucosa, and inducing contraction reflex of muscles in larynx. The air pulse stimulation of the invention can not cause the discomfort of vomiting, choking cough and the like of the patient and has good effect. It was determined that with the device of the present invention, air-pulse stimulation, either unilateral or bilateral, increases the salivary swallowing frequency. Particularly, the stimulation is carried out at the air pulse stimulation frequency of 5Hz for 10s at intervals of 10s, the duration time of each time is 10-20 min, and the outlet pressure range of the air pulse stimulation is 6-8 cmH2O, the best therapeutic effect can be achieved.
Drawings
FIG. 1 is a schematic view of the overall structure of an air pulse device
FIG. 2 is a clock simulation diagram for controlling the on-off of the switch
Fig. 3 is a schematic view of a stationary housing.
In the figure: the device comprises a power supply (1), a lead and fixed part, a mechanical timer (2), a switch (3), a micro motor (4), a crank connecting rod (5), a piston device (6), a rotary valve (7), an air guide hose (8), a pressure sensor (9), a fixed shell (10), a timing knob (201), a frequency adjusting knob (202), a pressure adjusting knob (203), a decoder tens position (204), a decoder unit position (205) and a pressure display screen (206).
Detailed Description
The present invention is further illustrated by the following examples, but it should not be construed that the scope of the above-described subject matter is limited to the following examples. Various substitutions and alterations can be made without departing from the technical idea of the invention and the scope of the invention is covered by the present invention according to the common technical knowledge and the conventional means in the field.
Example 1:
Referring to fig. 1, a simple portable air pulse stimulation device for cerebral apoplexy recovery physiotherapy is characterized by comprising a power supply system, a timing system, a control system, a driving system, a piston device 6 and an air guide hose 8.
The power supply system, the drive system and the piston device 6 are located in a stationary housing 10. The stationary housing 10 has a grip portion, a working portion from which the air supply hose 8 leads. The panel on the fixed shell 10 is provided with a timing knob 201, a frequency adjusting knob 202, a pressure adjusting knob 203, a decoder ten-bit 204, a decoder unit bit 205 and a pressure display screen 206. The operating panel of the timing system and the control system is located outside the stationary housing 10 for easy adjustment by the user.
The piston device 6 comprises a piston cylinder and a piston. One end of the piston cylinder is an air suction end, and the other end of the piston cylinder is an air outlet connected with an air guide hose 8. The air guide hose 8 is made of a latex material and, in use, the user includes the air guide hose 8 in the inlet. The air guide hose 8 is short in length, so that the mucous membrane of the oral cavity of a patient cannot be injured, and the comfort and the safety of use are guaranteed.
And the piston in the piston cylinder is driven by the driving system to reciprocate in the piston cylinder. The piston device 6 is similar to an inflator, and sucks air when the piston moves towards the air suction end, and blows air into the air outlet end of the air guide hose 8 when the piston moves towards the end connected with the air guide hose 8.
the driving system comprises a micro motor 4 and a connecting mechanism. The connecting mechanism is connected with the micro motor 4 and the piston and converts the rotary motion of the micro motor 4 into the reciprocating linear motion of the piston.
The connecting mechanism is a crank block mechanism 5. The crank block mechanism 5 comprises three connecting rods which are arranged on the same plane and are hinged with each other, and the rotating shaft of the micro motor 4 is perpendicular to the plane. Wherein, one end of the connecting rod L1 is connected with the rotating shaft of the micro motor 4. Link L2 connects link L2 and link L3. The connecting rod L3 is connected to the piston. The connecting rod L3 and the piston are equivalent to the slider of a slider-crank mechanism. The rated voltage of the micro motor 4 is not higher than 35V, the micro motor can be provided by a common dry battery, and can also be connected with 220V alternating current, and in the embodiment, direct current is adopted for supplying power. The rotation of the micro motor 4 drives the piston to do linear reciprocating motion. By adjusting the rotation speed of the micro-motor 4, the movement frequency of the piston can be submitted.
And an air pressure sensor is arranged at an air outlet of the piston device 6. The air outlet of the piston device 6 is provided with a rotary valve, and the area of the outlet is controlled by the valve, so that the pressure of the outlet is adjusted.
The power supply 1 of the power supply system is a direct current power supply and supplies power to the timing system, the control system and the driving system.
and controlling the working time of the driving system through the timing system. The timing system is a mechanical timer 2. In the embodiment, the mechanical timer 2 has four gears of 5 minutes, 10 minutes, 15 minutes and 20 minutes, and can control the working time of the device according to requirements.
And controlling the working state of the driving system by the control system. In particular, the control system includes a clock circuit. And the clock circuit controls the power supply system to intermittently supply power to the driving system. The control system controls the frequency of the piston means 6 by controlling the speed of movement of the drive system (the speed of rotation of the motor 4).
example 2:
The main structure of this embodiment is the same as that of embodiment 1, and further, referring to fig. 2, the time control system includes total time control and clock control. The clock control system comprises a pulse power supply, a preset circuit, a countdown circuit and a state conversion circuit. The preset circuit is controlled by a chip 74LS225, the countdown circuit is controlled by a chip 74LS192, and the state conversion circuit is controlled by a chip 74LS 90. The preset circuit sets the preset on-off number to be 10 seconds respectively, when the circuit starts to operate, the on-off of the switch is carried out for 10 seconds alternately, namely the stimulation is carried out for 10 seconds, the interval is 10 seconds, and the duration time of each time is 10-20 min by controlling the on-off state of the motor 4.
By means of the control system, the rotational speed of the motor 4 is controlled such that the frequency of the piston means 6 (air pulse stimulation frequency) is 5 Hz.
Based on the air outlet of the piston device 6 is provided with the air pressure sensor and the rotary valve, and the outlet sectional area can be adjusted, so that the outlet pressure can be accurately controlled. The rotary valve is connected with a knob at the shell, and a user can adjust the outlet stimulation pressure by adjusting the knob to ensure the effectiveness and the comfort of stimulation. In this embodiment, the outlet pressure range of the air pulse stimulation is 6-8 cmH2O。
It is noted that the optimum frequency of electrical pulse stimulation is known from the literature to be 50 to 80 Hz. At present, the electrical stimulation device is relatively perfect, widely used and has good effect. The air pulse sensory stimulation technology takes air pulse as stimulation, stimulates nerves of oral mucosa and tongue and pharynx by air impact, induces swallowing reflex, improves the sensitivity of the oral mucosa and the pharynx and causes contraction reflex of muscles in the larynx. The air pulse stimulation of the invention can not cause the discomfort of vomiting, choking cough and the like of the patient and has good effect.
Sensory thresholds were measured in the sensory function measurement of the throat under fiberendoscope (normal sensory threshold at less than 4mmHg, moderate sensory decline at more than 4mmHg and less than 6mmHg, and severe sensory decline at more than 6 mmHg). It was determined that the air-pulse stimulation, either unilateral or bilateral, increased the salivary swallowing frequency using the device of this example. The stimulation frequency of the air pulse is 5Hz, the stimulation is 10s, the interval is 10s, the duration time of each time is 10-20 min, and the outlet pressure range of the air pulse stimulation is 6-8 cmH2o, the best therapeutic effect can be achieved.
Example 3:
The main structure of this embodiment is the same as that of embodiment 1, and further, referring to fig. 3, the fixed housing 10 is provided with time, frequency and pressure control knobs, and the time and frequency knobs have different scales. The timing knob 201 is connected to an internal mechanical timer 2. The frequency control knob 202 is internally connected with a slide rheostat to control the rotating speed of the motor 4 and further control the frequency of the piston movement. The pressure control knob 203 inscribes the rotary valve 8 to change the outlet pressure by changing the outlet area of the piston device 5. The outlet is provided with a pressure sensor 9, and a display screen 206 on the fixed shell 10 displays the outlet pressure. When the user uses the device, the user rotates the frequency control knob 202 on the fixed shell 10 to the selected frequency, rotates the timing knob 201 on the fixed shell connected with the mechanical timer 2 to the required time, switches on the power supply 1, rotates the pressure control knob 203 on the fixed shell to the required outlet pressure on the display screen, and puts the parameters into the mouth of the user stably to perform air pulse stimulation.

Claims (10)

1. A simple and portable air pulse stimulation device for cerebral apoplexy recovery physiotherapy is characterized by comprising a power supply system, a timing system, a control system, a driving system, a piston device (6) and an air guide hose (8);
The piston device (6) comprises a piston cylinder and a piston; one end of the piston cylinder is an air suction end, and the other end of the piston cylinder is an air outlet connected with an air guide hose (8);
The piston in the piston cylinder is driven by the driving system to reciprocate in the piston cylinder;
The power supply system supplies power to the timing system, the control system and the driving system;
Controlling the working time of a driving system through the timing system;
And controlling the working state of the driving system by the control system.
2. The simple and portable air pulse stimulation device for cerebral apoplexy recovery physiotherapy as claimed in claim 1, wherein: the power supply (1) is a direct current power supply.
3. The simple and portable air pulse stimulation device for cerebral apoplexy recovery physiotherapy as claimed in claim 1, wherein: the driving system comprises a micro motor (4) and a connecting mechanism;
The connecting mechanism is connected with the micro motor (4) and the piston and converts the rotary motion of the micro motor (4) into the reciprocating linear motion of the piston.
4. The simple and portable air pulse stimulation device for cerebral apoplexy recovery physiotherapy as claimed in claim 3, wherein: the connecting mechanism is a crank-slider mechanism (5).
5. The simple and portable air pulse stimulation device for cerebral apoplexy recovery therapy according to claim 1 or 4, wherein: and a rotary valve is arranged at an air outlet of the piston device (6), and the area of an outlet is controlled through the valve so as to adjust the pressure of the outlet.
6. The simple and portable air pulse stimulation device for cerebral apoplexy recovery physiotherapy as claimed in claim 1, wherein: and an air pressure sensor is arranged at an air outlet of the piston device (6).
7. The simple and portable air pulse stimulation device for cerebral apoplexy recovery therapy according to claim 1 or 4, wherein: the timing system is a mechanical timer (2).
8. The simple and portable air pulse stimulation device for cerebral apoplexy recovery therapy according to claim 1 or 4, wherein: the control system includes a clock circuit.
9. the simple and portable air pulse stimulation device for cerebral apoplexy recovery therapy according to claim 1 or 4, wherein: the control system controls the frequency of the piston means (6) by controlling the speed of movement of the drive system.
10. The simple and portable air pulse stimulation device for cerebral apoplexy recovery therapy according to claim 1 or 4, wherein: the air guide hose (8) is made of latex material.
CN201910781646.0A 2019-08-23 2019-08-23 simple and easy portable air pulse stimulation device of cerebral apoplexy recovery physiotherapy Pending CN110575377A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201910781646.0A CN110575377A (en) 2019-08-23 2019-08-23 simple and easy portable air pulse stimulation device of cerebral apoplexy recovery physiotherapy

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Application Number Priority Date Filing Date Title
CN201910781646.0A CN110575377A (en) 2019-08-23 2019-08-23 simple and easy portable air pulse stimulation device of cerebral apoplexy recovery physiotherapy

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Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1377714A (en) * 2001-03-30 2002-11-06 福建正普生物工程研究所 Epilepsy treating instrument
CN1531915A (en) * 2003-03-25 2004-09-29 李惠钧 Happy chronic complaint treating health instrument for clearing and activating channels and collaterals
BE1017435A5 (en) * 2007-01-09 2008-09-02 Lefebvre Guy Michel Francis Hot air aspirating/blowing system for e.g. draining lymph towards lymph node, has catheter with yellow lamp for sending UV beam on skin, where beam is penetrated without obstructing air passage to reheat lymph and improve fluidity of lymph
CA3026616A1 (en) * 2016-06-20 2017-12-28 Goodsomnia Ab Device for massaging muscles in an oral cavity
CN208582404U (en) * 2018-03-05 2019-03-08 南昌大学第一附属医院 Gas pulse therapeutic equipment

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1377714A (en) * 2001-03-30 2002-11-06 福建正普生物工程研究所 Epilepsy treating instrument
CN1531915A (en) * 2003-03-25 2004-09-29 李惠钧 Happy chronic complaint treating health instrument for clearing and activating channels and collaterals
BE1017435A5 (en) * 2007-01-09 2008-09-02 Lefebvre Guy Michel Francis Hot air aspirating/blowing system for e.g. draining lymph towards lymph node, has catheter with yellow lamp for sending UV beam on skin, where beam is penetrated without obstructing air passage to reheat lymph and improve fluidity of lymph
CA3026616A1 (en) * 2016-06-20 2017-12-28 Goodsomnia Ab Device for massaging muscles in an oral cavity
CN208582404U (en) * 2018-03-05 2019-03-08 南昌大学第一附属医院 Gas pulse therapeutic equipment

Non-Patent Citations (2)

* Cited by examiner, † Cited by third party
Title
尹礼博: "基于数字电路的自助式红绿灯设计", 《廊坊师范学院学报(自然科学版)》 *
电机工程手册编辑委员会: "《电机工程手册第2版应用卷》", 30 September 1997 *

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Application publication date: 20191217

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